Lanier, Larry Paul

Lanier, Larry Paul is an individual health care provider with primary practice located at 4550 N 51St Ave Suite 19, Phoenix AZ 85031-1708. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Lanier, Larry Paul can be contacted via phone (623) 846-5407.

Contact Information

Primary practice address
4550 N 51St Ave Suite 19 Phoenix AZ 85031-1708
Phone: (623) 846-5407
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP1273 Arizona

Profile Details

NPI number 1356348577
LBN Legal business name Lanier, Larry Paul
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated Apr 3rd, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356348577 NPPES
Arizona Other P00093500 MEDICARE RAILROAD CARRIER
Arizona MEDICAID 56769601 MEDICARE RAILROAD CARRIER

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